Zwergel U, Zwergel T, Ziegler M
Z Urol Nephrol. 1985 Aug;78(8):423-8.
Injuries of the urethra confront traumatologists and urologists with common diagnostic and therapeutic problems. By an early interdisciplinary cooperation life-threatening early complications such as urosepsis, and late complications which are difficult to be corrected such as strictures of the urethra may be prevented and reduced, respectively. The accidental mechanisms and the diagnostic possibilities in injuries of the urethra are explained in detail. In 24 patients with anterior ruptures of the urethra and in 66 patients with posterior injuries of the urethra with the exception of 12 immediate operative reconstructions primarily a suprapubic and transurethral micturition was chosen. The posttraumatic results concerning the rate of stricture, the kind of removal of the stricture, the frequency of incontinence of urine and erectile impotence are analysed.
尿道损伤给创伤外科医生和泌尿外科医生带来了常见的诊断和治疗难题。通过早期的多学科合作，可分别预防危及生命的早期并发症（如尿脓毒症）和难以纠正的晚期并发症（如尿道狭窄）。文中详细解释了尿道损伤的意外机制和诊断方法。在24例尿道前壁破裂患者和66例尿道后壁损伤患者中，除12例立即进行手术重建外，其余患者主要选择耻骨上膀胱造瘘和经尿道排尿。分析了创伤后尿道狭窄发生率、狭窄解除方式、尿失禁频率和勃起功能障碍等方面的结果。
